Whalio Doctors

NPI 1053423020

James M Mulvaney

Practitioner Physical Therapist Mount Vernon, IL

Practice location

Address
1007 S 42nd St Suite 5, Mount Vernon, IL 62864-6217
Phone
(618) 244-1163
Fax
(618) 244-1522
Mailing address
4227 Lincolnshire Drive, Mount Vernon, IL 62864-2157

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 0700009894 (IL)

Registry record

NPI
1053423020
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.